Organization
K-C HEALTH SERVICES INC
Active
Other names
COMPOUNDING PHARMACY OF GREEN
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CATHER RPH MBA FASCP (OWNER)
(330) 899-0406
Entity
Organization
Contact information
Practice address
4016 MASSILLON RD, STE B, UNIONTOWN, OH 44685-7818
(330) 899-0406
(330) 899-0652
Mailing address
4016 MASSILLON RD, STE B, UNIONTOWN, OH 44685-7818
(330) 899-0406
(330) 899-0652
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021445650
OH
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079958
PK
—
Enumeration date
09/12/2006
Last updated
06/26/2013
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